25-Gauge transconjunctival sutureless vitrectomy system in the surgical management of children with posterior capsular opacification

Authors: Lam, Dennis SC; Fan, Dorothy SP; Mohamed, Shaheeda; Yu, Christopher BO¹; Zhang, Shao-bin²; Chen, Wei-qi²

Source: Clinical & Experimental Ophthalmology, Volume 33, Number 5, October 2005 , pp. 495-498(4)

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Abstract:

Purpose:

To evaluate the safety and efficacy of the 25-gauge transconjunctival sutureless vitrectomy (TSV) system in the surgical management of posterior capsular opacification (PCO) in pseudophakic children. Methods:

Pars plana membranectomy was performed for PCO in 10 pseudophakic eyes of six children (mean age 35.1 ± 37.8 months; range 6–93 months) using the TSV system. Surgical technique, intraoperative problems and postoperative complications including wound leakage, hypotony and the need for suturing were recorded. Results:

Wound leakage and other intraoperative problems were not noted in any of the eyes. All eyes showed improvement of visual acuity from a mean of 6/67 before to 6/29 after surgery (P = 0.001). Mean postoperative intraocular pressure (IOP) was 7.8 ± 3.1 mmHg (range: 3–10 mmHg). Four eyes (40%) had hypotony on the first postoperative day (IOP: 3–5 mmHg), which was transient in three eyes. One eye in a patient with uveitis had persistent hypotony, but hypotony was also present preoperatively, and the postoperative IOP returned to preoperative levels. This eye also developed recurrent PCO and a second capsulotomy was performed using the 25-gauge TSV system. Conclusions:

Posterior capsulotomy using the 25-gauge TSV system appears to be a safe and effective approach in the management of PCO in pseudophakic children. Advantages include easier manipulation with the smaller instruments in these small eyes, and it can be considered in appropriate cases.

Keywords: 25-gauge transconjunctival sutureless vitrectomy; childhood cataract; posterior capsular opacification; surgical capsulotomy

Document Type: Research article

DOI: http://dx.doi.org/10.1111/j.1442-9071.2005.01068.x

Affiliations: 1: Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Hong Kong Eye Hospital, Kowloon, Hong Kong, and 2: Joint Shantou International Eye Center of the Shantou University and the Chinese University of Hong Kong (JSIEC), Shantou, China

Publication date: 2005-10-01

25-Gauge transconjunctival sutureless vitrectomy system in the surgical management of children with posterior capsular opacification

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